Individual
MICHELLE R. FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
618 S MADISON DR, TEMPE, AZ 85281-7248
(480) 784-1514
Mailing address
12319 ASH ST, LEAWOOD, KS 66209-3156
(816) 935-3358
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
281966
AZ
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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